Читать книгу Pharmacologia - John Ayrton Paris - Страница 8
FALSE THEORIES, AND ABSURD CONCEITS.
ОглавлениеHe who is governed by preconceived opinions, may be compared to a spectator who views the surrounding objects through coloured glasses, each assuming a tinge similar to that of the glass employed; thus have crowds of inert and insignificant drugs been indebted to an ephemeral popularity, from the prevalence of a false theory; the celebrated hypothesis of Galen respecting the virtues and operation of medicines, may serve as an example; it is a web of philosophical fiction, which was never surpassed in absurdity. He conceives that the properties of all medicines are derived from what he calls their elementary or cardinal qualities, Heat, Cold, Moisture, and Dryness. Each of these qualities is again sub-divided into four degrees, and a plant or medicine, according to his notion, is cold or hot, in the first, second, third, or fourth gradation; if the disease be hot, or cold in any of these four stages, a medicine possessed of a contrary quality, and in the same proportionate degree of elementary heat or cold, must be prescribed. Saltness, bitterness, and acridness depend, in his idea, upon the relative degrees of heat and dryness in different bodies. It will be easily seen how a belief in such an hypothesis must have multiplied the list of inert articles in the materia medica, and have corrupted the practice of physic. The variety of seeds derived its origin from this source, and until lately, medical writers, in the true jargon of Galen, spoke of the four greater and lesser hot and cold seeds; and in the London Dispensatory of 1721, we find the powders of hot and cold precious stones, and those of the hot and cold compound powders of pearl. Several of the ancient combinations of opium, with various aromatics, are also indebted to Galen for their origin, and to the blind influence of his authority for their existence and lasting reputation. Galen asserted that opium was cold in the fourth degree, and must therefore require some corresponding hot medicine to moderate its frigidity.[37]
The Methodic Sect, which was founded by the Roman physician Themison,[38] a disciple of Asclepiades, as they conceived all diseases to depend upon overbracing, or on relaxation, so did they class all medicines under the head of relaxing and bracing remedies; and although this theory has been long since banished from the schools, yet it continues at this day to exert a secret influence on medical practice, and to preserve from neglect some unimportant medicines. The general belief in the relaxing effect of the warm, and the equally strengthening influence of the cold bath, may be traced to conclusions deduced from the operations of hot and cold water upon parchment and other inert bodies.[39]
The Stahlians, under the impression of their ideal system, introduced Archœal remedies, and many of a superstitious and inert kind; whilst, as they on all occasions trusted to the constant attention and wisdom of nature, so did they zealously oppose the use of some of the most efficacious instruments of art, as the Peruvian bark; and few physicians were so reserved in the use of general remedies, as bleeding, vomiting, and the like; their practice was therefore imbecile, and it has been aptly enough denominated, “a meditation upon death.” They were however vigilant in observation and acute in discernment, and we are indebted to them for some faithful and minute descriptions.
The Mechanical Theory, which recognised “lentor and morbid viscidity of the blood,” as the principal cause of all diseases, introduced attenuant and diluent medicines, or substances endued with some mechanical force; thus Fourcroy explained the operation of mercury by its specific gravity,[40] and the advocates of this doctrine favoured the general introduction of the preparations of iron, especially in schirrus of the spleen or liver, upon the same hypothetical principle; for, say they, whatever is most forcible in removing the obstruction, must be the most proper instrument of cure; such is Steel, which, besides the attenuating power with which it is furnished, has still a greater force in this case from the gravity of its particles, which, being seven times specifically heavier than any vegetable, acts in proportion with a stronger impulse, and therefore is a more powerful deobstruent. This may be taken as a specimen of the style in which these mechanical physicians reasoned and practised.
The Chemists, as they acknowledged no source of disease but the presence of some hostile acid or alkali, or some deranged condition in the chemical composition of the fluid or solid parts, so they conceived all remedies must act by producing chemical changes in the body. We find Tournefort busily engaged in testing every vegetable juice, in order to discover in it some traces of an acid or alkaline ingredient, which might confer upon it medicinal activity. The fatal errors into which such an hypothesis was liable to betray the practitioner, receive an awful illustration in the history of the memorable fever that raged at Leyden in the year 1699, and which consigned two thirds of the population of that city to an untimely grave; an event which, in a great measure, depended upon the Professor Sylvius de la Boe, who having just embraced the chemical doctrines of Van Helmont, assigned the origin of the distemper to a prevailing acid, and declared that its cure could alone be effected by the copious administration of absorbent and testaceous medicines; an extravagance into which Van Helmont, himself, would hardly have been betrayed:—but thus it is in Philosophy, as in Politics, that the partisans of a popular leader are always more sanguine, and less reasonable, than their master; they are not only ready to delude the world, but most anxious to deceive themselves, and while they warmly defend their favourite system from the attacks of those that may assail it, they willingly close their own eyes, and conceal from themselves the different points that are untenable; or, to borrow the figurative language of a French writer, they are like the pious children of Noah,[41] who went backwards, that they might not see the nakedness which they approached for the purpose of covering.
Unlike the mechanical physicians, the chemists explain the beneficial operation of iron by supposing that it increases the proportion of red globules in the blood, on the erroneous[42] hypothesis that iron constitutes the principal element of these bodies. Thus has iron, from its acknowledged powers, been enlisted into the service of every prevailing hypothesis; and it is not a little singular, as a late writer has justly observed, that theories however different, and even adverse, do nevertheless often coincide in matters of practice, as well with each other as with long established empirical usages, each bending as it were, and conforming, in order to do homage to truth and experience. And yet iron, whose medicinal virtues have been so generally allowed, has not escaped those vicissitudes in reputation which almost every valuable remedy has been doomed to suffer: at one period the ancients imagined that wounds inflicted by iron instruments, were never disposed to heal, for which reason Porsenna, after the expulsion of the Tarquins, actually stipulated with the Romans that they should not use iron, except in agriculture; and Avicenna was so alarmed at the idea of its internal use as a remedy, when given in substance, that he seriously advised the exhibition of a magnet[43] after it to prevent any direful consequences. The fame even of Peruvian bark has been occasionally obscured by the clouds of false theory some condemned its use altogether, “because it did not evacuate the morbific matter,” others, “because it bred obstructions in the viscera,” others again, “because it only bound up the spirits, and stopped the paroxysms for a time, and favoured the translation of the peccant matter into the more noble parts.” Thus we learn from Morton,[44] that Oliver Cromwell fell a victim to an intermittent fever, because the Physicians were too timid to make a trial of the bark. It was sold first by the Jesuits for its weight in silver;[45] and Condamine relates that in 1690, about thirty years afterwards, several thousand pounds of it lay at Piura and Payta for want of a purchaser.
Nor has Sugar escaped the venom of fanciful hypothesis. Dr. Willis raised a popular outcry against its domestic use, declaring that “it contained within its particles a secret acid—a dangerous sharpness,—which caused scurvys, consumptions, and other dreadful diseases.”[46]
Although I profess to offer merely a few illustrations of those doctrines, whose perverted applications have influenced the history of the Materia Medica, I cannot pass over in silence that of John Brown, “the child of genius and misfortune.” As he generalized diseases, and brought all within the compass of two grand classes, those of increased and diminished excitement, so did he abridge our remedies, maintaining, that every agent which could operate on the human body was a Stimulant, having an identity of action, and differing only in the degree of its force; so that, according to his views, the lancet and the brandy bottle were but the opposite extremes of one and the same class: the mischievous tendency of such a doctrine is too obvious to require a comment.
But the most absurd and preposterous hypothesis that has disgraced the annals of medicine, and bestowed medicinal reputation upon substances of no intrinsic worth, is that of the Doctrine of Signatures, as it has been called, which is no less than a belief that every natural substance which possesses any medicinal virtue, indicates by an obvious and well-marked external character, the disease for which it is a remedy, or the object for which it should be employed![47] This extraordinary monster of the fancy has been principally adopted and cherished by Paracelsus, Baptista Porta, and Crollius, although traces of its existence may be certainly discovered in very ancient authors. The root of the Mandrake, from its supposed resemblance to the human form, was esteemed as a remedy for Sterility: thus did Rachael demand from her sister the Mandrakes (Dudaim) which Reuben had gathered in the field; impressed, as it would appear, with a belief in the efficacy of that plant against barrenness.[48] There would moreover appear in this case to have been some idea of additional virtue arising from the person who gathered it, for great stress was laid upon this circumstance, “my son’s Mandrakes:” such a notion is by no means uncommon in the history of charms. The supposed virtues of the Lapis Ætites, or Eagle stone,[49] described by Dioscorides, Ætius and Pliny, who assert that if tied to the arm it will prevent abortion, and if fixed to the thigh forward delivery, were, as we learn from ancient authority, solely suggested by the manner in which the nodule contained within the stone moves and rattles, whenever it is shaken. “Ætites lapis agitatus, sonitum edit, velut ex altero lapide prægnans.” The conceit however did not assume the importance of a theory until the end of the fourteenth century, at which period we find several authors engaged in the support of its truth, and it will not be unamusing to offer a specimen of their sophistry; they affirm, that since man is the lord of the creation, all other creatures are designed for his use, and therefore, that their beneficial qualities and excellencies must be expressed by such characters as can be seen and understood by every one; and as man discovers his reason by speech, and brutes their sensations by various sounds, motions, and gestures, so the vast variety and diversity of figures, colours, and consistencies, observable in inanimate creatures, is certainly designed for some wise purpose. It must be, in order to manifest these peculiar qualities and excellencies, which could not be so effectually done in any other way, not even by speech, since no language is universal. Thus, the lungs of a fox must be a specific for asthma, because that animal is remarkable for its strong powers of respiration. Turmerick has a brilliant yellow colour, which indicates that it has the power of curing the jaundice; by the same rule, Poppies must relieve diseases of the head; Agaricus those of the bladder; Cassia fistula the affections of the intestines, and Aristolochia the disorders of the uterus: the polished surface and stony hardness which so eminently characterise the seeds of the Lithospermum Officinale (Common Gromwell) were deemed a certain indication of their efficacy in calculous and gravelly disorders; for a similar reason the roots of the Saxifraga Granulata (White Saxifrage) gained reputation in the cure of the same disease; and the Euphrasia (Eye-bright) acquired fame, as an application in complaints of the eye, because it exhibits a black spot in its corolla resembling the pupil.
In the curious work of Chrysostom Magnenus, we meet with a whimsical account of the Signature of Tobacco. “In the first place,” says he, “the manner in which the flowers adhere to the head of the plant indicates the Infundibulum Cerebri, and Pituitary Gland. In the next place, the three membranes of which its leaves are composed announce their value to the stomach which has three membranes.”[50]
The blood-stone, the Heliotropium of the ancients, from the occasional small specks or points of a blood red colour exhibited on its green surface, is even at this day employed in many parts of England and Scotland, to stop a bleeding from the nose; and nettle-tea continues a popular remedy for the cure of Urticaria. It is also asserted that some substances bear the Signatures of the humours, as the petals of the red rose that of the blood, and the roots of rhubarb and the flowers of saffron, that of the bile.[51]
I apprehend that John of Gaddesden, in the fourteenth century, celebrated by Chaucer, must have been directed by some remote analogy of this kind, when he ordered the son of Edward the First, who was dangerously ill with the small-pox, to be wrapped in scarlet cloth, as well as all those who attended upon him, or came into his presence, and even the bed and room in which he was laid were covered with the same drapery; and so completely did it answer, say the credulous historians of that day, that the Prince was cured without having so much as a single mark left upon him.
In enumerating the conceits of Physic, as relating to the Materia Medica, we must not pass over the idea, so prevalent at one period, that all poisonous substances possess a powerful and mutual elective attraction for each other; and that consequently, if a substance of this kind were suspended around the neck, it would, by intercepting and absorbing every noxious particle, preserve the body from the virulence of contagious matter. Angelus Sala, accordingly, gives us a formula for what he terms his Magnes Arsenicalis, which he asserts will not only defend the body from the influence of poison, but will, from its powers of attraction, draw out the venom from an infected person. In the celebrated plague of London, we are informed that amulets of arsenic were upon this principle suspended over the region of the heart, as a preservative against infection.
There is yet to be mentioned another absurd conceit which long existed respecting the subject of Antidotes,—a belief that every natural poison carried within itself its own antidote; thus we learn from the writings of Dioscorides, Galen, and Pliny, that the virus of the Cantharis Vesicatoria existed in the body of the fly, and that the head, feet, and wings, contained its antidote; for the same potent reason were the hairs of the rabid dog esteemed the true specific for Hydrophobia.[52]